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Chapter 01: Leading, Managing, and Following Yoder-Wise: Leading and Managing in Nursing, 7th Edition
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The nurse manager has been asked to implement an evidence-based approach to teach ostomy patients self-management skills postoperatively. The program is to be implemented across the entire facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff are available.
b. The current approach is continued because it is also evidence-based and is more familiar to staff.
c. You decide to implement the approach at a later date because of feedback from the RNs that the new approach takes too much time.
d. An RN who is already familiar with the new approach of volunteers to take the lead in mentoring and teaching others how to implement it.
The nurse manager has been asked to implement an evidence-based approach to teach ostomy patients se...
ANS: D Followership occurs when there is acquiescence to a peer who is leading in a setting where a team has gathered to ensure the best clinical decision making, and actions are taken to achieve clinical or organizational outcomes. Followership promotes good clinical decisions and use of clinical resources.
After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the family and asks them to come in, as the patient is dying. What is the most likely basis for the nurse manager’s request?
a. An established clinical pathway
b. Confirmatory scientific evidence
c. Unit protocol
d. Experience
After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks...
ANS: D The nurse manager is employing knowledge and experience in determining that the patient is dying, because the course of dying is not standardized and cannot be determined by clinical pathways.
A family is keeping vigil at a critically ill patient’s bedside. The nurse approaches the unit manager with concern over the family dynamics for the patient concerned there are patient-family conflicts based on patient’s wishes. The nurse suggests that the patient’s
provider may need to discuss the treatment plan with the family. The unit manager states he will arrange a discussion with the patient’s provider and ask the nurse to support the provider’s decisions. What is the role of the nurse in this situation?
a. Leadership
b. Management
c. Follower
d. Evidence-based
A family is keeping vigil at a critically ill patient’s bedside. The nurse approaches the unit man...
ANS: C In the followership role, you bring to the manager your concerns about concerns for patients and the outcomes and accept the direction given by the manager in response to your concerns.
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